Clinical Documentation Improvement Specialist

Job Summary

A company is looking for a Medical Records Technician (Clinical Documentation Improvement Specialist).

Key Responsibilities

• Assist facility staff with documentation requirements and ensure provider documentation supports diagnoses and procedures coded
• Collaborate with clinical staff to improve documentation quality and compliance, optimizing reimbursement and preventing fraud
• Compile, review, and analyze medical data to identify documentation improvements and ensure accurate representation of patient care

Required Qualifications, Training, and Education

• U.S. Citizenship is required
• One year of experience in medical terminology, anatomy, physiology, and medical coding, or an associate's degree in health information technology
• Completion of an AHIMA approved coding program or equivalent training may substitute for experience
• Certification through AHIMA or AAPC is required, with options for mastery level or clinical documentation improvement certification
• Proficiency in English is mandatory